224297 09/23/2013 „yf CITY OF CARMEL, INDIANA VENDOR: 354867 Page 1 of 1
ONE CIVIC SQUARE RUNYON EQUIPMENT RENTAL
CARMEL, INDIANA 46032 410 W CARMEL DRIVE CHECK AMOUNT: $237.60
CARMEL IN 46032
CHECK NUMBER: 224297
CHECK DATE: 9/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4353099 2783181 237 . 60 OTHER RENTAL & LEASES
IIIIII I III II II II III I III Page 1 of 1
j 'T\7�D Status: Closed
®�® 410 WEST CARMEL DRIVE Invoice#: 278318-1
��+ CARMEL, IN 46032 s S E 2013
p � � Invoice Date: Fri 9/612013
EQUIPMENT RENTAL www.runyonrental.com Date Out: Thu 9/5/2013 10:00:OOAM
1-800-276-Tool,(866, 317-566-8888 Phone
"Don't be a-tool•Rent one" 317-566-2990 Fax 1,.". - Operator: JOEL PROCHNOW
ustomer#71209 � Terms: On Account
CARMEL CLAY PARKS &RECREATION 317-848-7275 Phone
317-571-4136 Fax
1411 E. 116TH STREET
CARMEL, IN 46032 PO#: MONON BRIDGE /tj 601
Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm
Picked up by: TODD SNYDER
Salesman: NONE Phone: -- E-Mail:
Qty Key Items Ser# Status Returned Date Price
1 2023#0006 CONCRETE PLANER 8"GAS 15527 Returned 9/5/2013 1:12:OOPM $220.00
lday$220.00 lweek$880.00 4weeks$2,640.00
&row) -to Mmvn RA4
Thank You for your Business
Rental: Damage Waiver: Sales: Delivery Charge: Misc Charges:
$220.00 $17.60 $0.00 $0.00 $0.00
Subtotal: INDIANA: Total: Paid: Amount Due:
$237.60 $0.00 $237.60 $0.00 $237.60
You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person,(b)THE RENTED ITEM(S)IS/ARE FULL OF FUEL AND MUST BE RETURNED AS
SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs
resulting from alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for double-insulated safety-approved tools),and you are
responsible for not cutting off the ground lug,(d)Runyon is authorized to charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)
which is discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85.00 per hour. X (Initial)
I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those instructions. X (Initial)
I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Equipment Protection Plan(Damage Waiver)as
described on the back of this Contract.x (Initial)
The undersigned has carefully read and fully understands the Terms and Conditions on the back of this Contract and personally guarantees the Customer's prompt payment and
performance of its obligations arising under this Contract.
Printed Name:
Signature:
CARMEL CLAY PARKS& RECREATION-TODD SNYDER
Mo fication# 8
WE CHARGE FOR TIME OUT,NOT TIME USED. YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL ANP E�FfCTRIC CURRENT. RENTAL FEES DO NOT APPLY � a PAW
Printed On Fri 9/6/2013 1:59:54PM NO ADJUSTMENTS D f --witl�eRmaues�n equipmenipmaffunc onscuness Runyon has been notified. cunt a ram (1)
A LARGER-FONT VERSION OF THIS CONTRACT IS AVAILABLE UPON REQUEST.
TERMS AND CONDITIONS FOR RENTAL
A URGER-PRINT VERSION OF THESE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
354867 Runyon Equipment Rental Terms
410 W Carmel Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/6/13 2783181 Repair to Monon Bridge $ 237.60
Total $ 237.60
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No, Warrant No.
354867 Runyon Equipment Rental Allowed 20
410 W Carmel Drive
Carmel, IN 46032
In Sum of$
$ 237.60
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 2783181 4353099 $ 237.60 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
19-Sep 2013
y•
Signature
$ 237.60 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund